What Is an NPI Number?


Whenever your doctor's office or hospital bills your insurance company, it transmits electronic information about your health. As a result, the federal Health Insurance Portability and Accountability Act, or HIPPA, requires it to have a National Provider Identifier, or NPI, number. Health care providers must identify themselves with this 10-digit marker when they electronically send information about patients' conditions, diagnosis and treatments.

When the Number is Used

  • Your provider must send the NPI number whenever it performs and reports a HIPAA transaction. These events include examination and treatment of patients; filing and checking on claims for insurance benefits, patient referrals and preapproval or precertification of services.

Required Users

  • In addition to doctors, dentists, pharmacists, nurses, chiropractors, physical therapists, nursing homes, ambulance companies and medical device suppliers are among the providers that must carry an NPI number. Those who furnish services, such as non-emergency ambulance transportation, housekeeping and installing rails or ramps to accommodate disabled persons, are not considered health care providers and do not get an NPI number.

Doctor or Number Search

  • The National Plan & Provider Enumeration System maintains a searchable database for you to find a provider's NPI number or the identity of provider. The NPI registry will give you, in addition to the NPI, the provider's address, type of service or general area of practice, and the insurers accepted by the provider.

Related Searches


  • Photo Credit Feverpitched/iStock/Getty Images
Promoted By Zergnet



You May Also Like

  • What Is a Medicare Legacy Number?

    Section 45, part 162 of the Code of Federal Regulations contains the Final Rule on health care provider identification numbers. To facilitate...

  • How to Get an NPI Number for Medical Billing

    The Health Insurance Portability and Accountability Act of 1996 mandated the use of a standard identification for all health care providers. This...

  • What Is a Taxonomy Number?

    As a health care provider, it is necessary to choose a right taxonomy code to claim the money for your services. The...

Related Searches

Check It Out

This Is the Beauty Routine of a Yelp Sales Manager

Is DIY in your DNA? Become part of our maker community.
Submit Your Work!